DANIEL CARL PRIDEMORE

WEST ALLIS, WI
NPI1104189877
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: WI  3270-35)
Enumeration Date2012-06-19
Last Update Date2012-06-19
Business Address
Dr. DANIEL CARL PRIDEMORE O.D.
2761 S 108TH ST
WEST ALLIS, WI 53227-3232
Phone number: 414-321-2425
Mailing Address
Dr. DANIEL CARL PRIDEMORE O.D.
2761 S 108TH ST
WEST ALLIS, WI 53227-3232
Phone number: